Frontline medical staff ‘must be

● Scientists call for monitoring alongside apps and digitally delivered programmes to offer support to vulnerable groups

Mental health and brain research must be a higher priority in the response to the coronavirus outbreak, scientists have said.

They are calling for urgent real-time monitoring of mental health to be rolled out in the UK and across the world.

In a paper published in Lancet Psychiatry, the researchers say frontline medical staff and vulnerable groups must be a priority for support.

The experts say that apps and digitally delivered programmes must be designed to protect people’s mental health during the Covid-19 lockdown.

They add their paper highlights a vital need to tackle the harmful impacts of the pandemic on mental health and potentially the brain.

Professor Linda Bauld, from Edinburghuniversity,haspreviously said being forced to remain at home unable to see family and friends, as well as a deluge of negatives stories in the news and on social media, were taking a toll on people’s mental health.

She also expressed concern that people were not seeking medical help and treatment, worried that it would put additional pressure on the NHS.

First Minister Nicola Sturgeon has warned Scotland will be left dealing with a “mental health legacy” once the coronavirus lockdown is finally lifted.

The 24 report authors of the new report write: “It is already evident that the direct and indirect psychological and social effects of the coronavirus disease 2019 (Covid-19) pandemic are pervasive and could affect mental health now and in the future.”

The paper calls for more widespread mental health monitoring and better ways to protect against, and treat, mental ill health – both of which will require new funding and better co-ordination.

According to an Ipsos Mori poll of 1,099 members of the UK public and a survey of 2,198 people by the UK mental health research charity MQ, the public already has substantial concerns about mental health in relation to coronavirus. Both surveys were carried out last last month in the week lockdown measures were announced to inform the Lancet Psychiatry paper.

They suggest the public had specific concerns related to Covid-19, including increased anxiety, fear of becoming mentally unwell, access to mental health services and the impact on mental wellbeing.

Paper author Professor Emily Holmes from the Department of Psychology at Uppsala University in Sweden, said: “We are all dealing with unprecedented uncertainty and major changes to the way we live our lives as a result of the coronavirus pandemic.

“Our surveys show these changes are already having a considerable impact on our mental health.

“Governments must find evidence-based ways to boost the resilience of our societies and find ways to treat those with mental ill health remotely to come out of this pandemic in good mental health.

“Frontline medical staff and vulnerable groups such as the elderly and those with serious mental health conditions must be prioritised for rapid mental health support.”

The paper also calls for the rapid roll out of evidencebased programmes and treatments, which can be accessed by computer, mobile phone or other remote ways, to treat mental health conditions and increase resilience to keep people mentally healthy.

The expert group, which was established and supported by the Academy of Medical Sciences and MQ, came together to create the road map they have published.

Professor Matthew Hotopf is vice dean of research at King’s College London’s Institute of Psychiatry Psychology and Neuroscience and director NIHR Maudsley Biomedical

Research Centre and one of the paper authors.

He said: “Knowing what is happening in real time will allow us to respond by designing more user friendly and effective ways to promote goodmentalhealthwhilepeople are in their homes.

“Aboveall,however,wewant to stress that all new interventions must be informed by topnotch research to make sure they work.”

Rory O’connor, professor of health psychology at the University of Glasgow and one of the paper authors said: “Increased social isolation, loneliness, health anxiety, stress and an economic downturn are a perfect storm to harm people’s mental health and wellbeing.

“If we do nothing we risk seeing an increase in mental health conditions such as anxiety and depression, and a rise in problem behaviours such as alcohol and drug addiction, gambling, cyberbullying or social consequences such as homelessness and relationship breakdown.

“The scale of this problem is too serious to ignore, both in terms of every human life that may be affected, and in terms of the wider impact on society.

“Despite this situation making some of us feel trapped, it shouldn’t make us feel powerless. We can make a difference if we act now. We are calling on funding bodies, research institutes and policy to act now to limit the impact the pandemic has on all our lives.”

Extra funds have been allocated to the confidential online service Breathing Space in Scotland.

“The scale of this problem is too serious to ignore, both in terms of every human life that may be affected, and in terms of the wider impact on society”

RORY O’CONNOR